Mrs Stephanie C Kelly, CRNA in Chicago, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Stephanie C Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chicago, Illinois. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Endeavor Health Medical Group and her current practice location is 2900 N Lake Shore Dr, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 665-3000.

Mrs Stephanie C Kelly is licensed to practice in Illinois (license number 041258087) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598776858.

Contact Information

	Mrs Stephanie C Kelly, CRNA
	2900 N Lake Shore Dr, Chicago, IL 60657-5640
	(773) 665-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie C Kelly
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	27 Years
Location	2900 N Lake Shore Dr, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stephanie C Kelly graduated from nursing school in 1997

NPI Data:

NPI Number: 1598776858
Provider Enumeration Date: 08/11/2006
Last Update Date: 05/16/2012

Medicare PECOS Information:

PECOS PAC ID: 9931174901
Enrollment ID: I20040901000893

Medical Identifiers

Medical identifiers for Mrs Stephanie C Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598776858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041258087 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Stephanie C Kelly allows following entities to bill medicare on her behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stephanie C Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Stephanie C Kelly, CRNA 185 Penny Ave, East Dundee, IL 60118-1454 Ph: (847) 836-7015	Mrs Stephanie C Kelly, CRNA 2900 N Lake Shore Dr, Chicago, IL 60657-5640 Ph: (773) 665-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Chicago, IL

Mrs. Bonnie Devroe Malik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Debra Farida, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-975-1600
Shannon R Galvin, M.D. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611 Phone: 312-695-0061 Fax: 312-695-9013
Flordelina B Corpus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6705
Mr. Jeremy Philip Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611 Phone: 312-926-8369
Christopher Glenn, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612 Phone: 312-996-4020
Christopher Payne, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-6000

Mrs Stephanie C Kelly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Chicago, IL